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NPI Code Detail

MEDICARE: TIFFANY VAUGHN

MEDICARE:   TIFFANY  VAUGHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385HR2050XRespite Care Camp

General Provider Information

NPI Number : 1639852882
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY VAUGHN
Provider Business Mailing Address
First Line : 4855 RUSTY NAIL PT UNIT 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4757
Country : US
Telephone Number : 720-660-0674
Fax Number :
Provider Business Practice Location Address
First Line : 4855 RUSTY NAIL PT UNIT 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4757
Country : US
Telephone Number : 720-660-0674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2023
Last Update Date : 08/14/2023

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Directions to “ TIFFANY VAUGHN ” Practice Location

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